Journal of Police Medicine
نشریه طب انتظامی
J Police Med
Medical Sciences
http://jpmed.ir
1
admin
2228-6241
2383-3483
10.30505
en
jalali
1401
10
1
gregorian
2023
1
1
12
1
online
1
fulltext
fa
روانسنجی و بومیسازی چکلیست ارزیابی و ترخیص بیمار در واحد مراقبتهای پس از بیهوشی (SAMPE checklist)
The Psychometry and Localization of the Patient Assessment and Discharge Checklist in the Post-Anesthesia Care Unit (SAMPE Checklist)
فوریتهای طب انتظامی
Police Medicine Emergencies
پژوهشی اصيل
Original Research
<div style="text-align: justify;"><span style="font-family:IRANyekan;"><span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt">اهداف</span><span lang="AR-SA" style="font-size:12.0pt">:</span></b> <span lang="FA" style="font-size:12.0pt">انتقال صحیح مراقبتهای بعد از عمل از واحد مراقبتهای پس از بیهوشی (</span><i><span dir="LTR" style="font-size:12.0pt">PACU</span></i><span lang="FA" style="font-size:12.0pt">) به بخش عادی یا حتی ترخیص به منزل، مرحله مهمی از تحویل بیماران جراحی است. مطالعه حاضر، باهدف روانسنجی و بومیسازی نسخه فارسی چکلیست ارزیابی و ترخیص بیمار در واحد مراقبتهای پس از بیهوشی انجام شد.</span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="FA" style="font-size:12.0pt">مواد و </span><span lang="AR-SA" style="font-size:12.0pt">روشها:</span></b> <span lang="FA" style="font-size:12.0pt">این مطالعه مقطعی در سال 1401 در دانشکده پیراپزشکی دانشگاه علوم پزشکی ایران انجام شد. در این مطالعه روانسنجی و بومیسازی نسخه فارسی چکلیست ارزیابی و ترخیص بیمار در واحد مراقبتهای پس از بیهوشی (</span><span dir="LTR" style="font-size:12.0pt">SAMPE checklist</span><span lang="FA" style="font-size:12.0pt">) مورد ارزیابی قرار گرفت. به این صورت که ترجمه ابزار به روش </span><span dir="LTR" style="font-size:12.0pt">forward-backward</span><span lang="FA" style="font-size:12.0pt"> اجرا گردید و اعتباریابی بالینی ابزار با استفاده از تعیین روایی صوری (کیفی) و روایی محتوا (شاخص روایی محتوا) صورت گرفت. همچنین بهمنظور بررسی پایایی ابزار از روش پایایی بین ارزیابان</span> <span lang="FA" style="font-size:12.0pt">با استفاده از ضریب کاپا انجام شد. جهت تحلیل آماری از نرمافزار </span><span dir="LTR" style="font-size:12.0pt">SPSS 26</span><span lang="FA" style="font-size:12.0pt"> استفاده شد.</span><span dir="LTR" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><b><span lang="AR-SA" style="font-size:12.0pt">یافتهها: </span></b><span lang="FA" style="font-size:12.0pt">پژوهش حاضر بر روی 80 بیمار واحد مراقبتهای پس از بیهوشی با میانگین سنی<span style="color:black"> 6.16±0.45 ا</span>نجام شد. بیماران به صورت غیرتصادفی (نمونههای در دسترس) از واحد مراقبتهای پس از بیهوشی انتخاب شدند. طبق یافتهها در بررسی روایی صوری به روش کیفی، تمام آیتمهای ابزار ترجمهشده به صورت ظاهری با هدف مطالعه مرتبط بود. شاخص روایی محتوایی 0.94 گزارش شد که طبق نتایج، تمام آیتمهای ابزار دارای روایی محتوای بالایی بودند. پایایی چکلیست توسط ضریب کاپا(1-0.31) اندازهگیری شد که نشاندهنده بالا بودن میزان توافق بین ارزیابان بود.</span><sub><span lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></sub></span></span></span></span><br>
<b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:115%">نتیجهگیری:</span></span></b> <span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%">یافتههای پژوهش نشاندهنده روایی صوری، روایی محتوا و پایایی مناسب ابزار است. بر همین اساس، چکلیست ارزیابی و ترخیص بیمار در واحد مراقبتهای پس از بیهوشی (</span></span><span style="font-size:12.0pt"><span style="line-height:115%">SAMPE checklist</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%">)</span></span><b> </b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%">روانسنجی و بومیسازیشده در این پژوهش میتواند در تعیین آمادگی بیماران برای ترخیص از محیط </span></span><span style="font-size:12.0pt"><span style="line-height:115%">PACU</span></span><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="line-height:115%"> استفاده شود.</span></span></span></div>
<div></div>
<div style="text-align: justify;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><span sans-serif=""><b><span cambria="">Aims</span></b><span cambria="">: The correct transition in postoperative care, from the post-anesthesia care unit (PACU) to the general ward or even home discharge, is an essential step in the discharge of surgical patients. The present study was conducted with the aim of psychometrics and localization of the Persian version of the patient evaluation and discharge checklist in the post-anesthesia care unit.</span></span><br>
<span sans-serif=""><b><span cambria="">Materials and Methods:</span></b><span cambria=""> This cross-sectional study was conducted in the paramedical faculty of Iran University of Medical Sciences in 2022. In this study, the psychometrics and localization of the Persian version of the patient assessment and discharge checklist in the post-anesthesia care unit (SAMPE checklist) were evaluated. The translation tool was implemented using the forward-backward method, and the clinical validation of the tool was done by determining face validity (qualitative) and content validity (content validity index). Also, to check the tool's reliability, the inter-rater reliability method was performed using the Kappa coefficient. SPSS version 26 software was used for statistical analysis.</span></span><br>
<span sans-serif=""><b><span cambria="">Findings</span></b><span cambria="">: </span></span>The present research was conducted on 80 patients of the PACU with a mean age of 45 years (minimum = 18 years, maximum = 89 years). Patients were selected non-randomly (convenience samples) from the PACU and participated in the study after informing their consent. Demographic and anesthesia-surgery characteristics are provided in Table 1.<br>
Content validity was reported as 0.94 using CVI (Table 2). For eight items of the checklist, a CVI over 0.79 was reported, indicating the favorable content validity of all items (Table 2). The face validity of the SAMPE checklist was assessed qualitatively using the recovery nurses’ comments. The recovery nurses approved all the items regarding the items’ level of difficulty, appropriateness, and ambiguity; thus, no change was made to the items. In order to assess the reliability, the kappa coefficient was calculated, the value of which was 0.31-1, indicating the appropriateness of the tool’s reliability (Table 3).<br>
<span sans-serif=""><b><span cambria="">Conclusion</span></b><span cambria="">: The research findings show the tool's face validity, content validity, and appropriate reliability. Based on this, the psychometric and localized patient evaluation and discharge checklist in the post-anesthesia care unit (SAMPE checklist) in this research can be used to determine the readiness of patients for discharge from the PACU</span><span new="" roman="" times="">.</span></span><br>
<strong>CLINICAL & PRACTICAL TIPS in POLICE MEDICINE: </strong>The Persian version of the SAMPE checklist is a simple and practical tool for safely discharging patients from the post-anesthesia care unit. A medical staff of military and police forces can use this checklist as a quick and safe method to evaluate and discharge patients in the post-anesthesia care unit.<br>
<strong>ACKNOWLEDGMENTS: </strong>The treatment staff of the operating room and PACU of Rasoul Akram Hospital in Tehran, Iran, were appreciated.<br>
<strong>CONFLICT of INTEREST: </strong>The authors stated that there is no conflict of interest.<br>
<strong>AUTHORS CONTRIBUTION: </strong>Mohammad Gholamzadeh in data collection; Azam Saei in the presentation of the idea and design of the study; Shahnam Sedigh Maroufi in presenting the idea and design of the study; Tahereh Sadat Khoobbin Khoshnazar in data interpretation; Rezvaneh Rajabzadeh in statistical data analysis; All the authors participated in the initial writing of the article and its revision, and all of them accept the responsibility for the accuracy and correctness of the contents of this article with the final approval of this article.<br>
<strong>FUNDING SOURCES: </strong>The research vice-chancellor of the Paramedical Faculty of Iran, University of Medical Sciences, was the financial support of this research.</span></span><br>
</span>
<div style="text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Table 1)</b> Demographic characteristics and surgical anesthesia in the statistical sample (N=80)</span></span></span></div>
<table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none">
<tbody>
<tr>
<td colspan="2" style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Index</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Number (percent)</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Sex</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Female<br>
male</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">37(46.3)<br>
43(53.7)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Type of anesthesia</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">general anesthesia<br>
Monitored care<br>
Regional anesthesia</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">52(65)<br>
12(15)<br>
16(20)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Class<b> </b>ASA</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">I<br>
II<br>
III<br>
IV</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">28(35)<br>
25(31.3)<br>
25(31.3)<br>
2(2.5)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Extent of surgery</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">small and medium<br>
big</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">48(60)<br>
32(40)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Type of surgery</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Chest<br>
rectum and colon<br>
General<br>
Obstetrics and Gynecology<br>
Neurology<br>
orthopedics<br>
Plastic<br>
urology<br>
Artery</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-bottom: 1px solid black; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1(1.3)<br>
1(1.3)<br>
21(26.3)<br>
21(26.3)<br>
3(3.8)<br>
18(22.5)<br>
4(5)<br>
2(2.5)<br>
9(11.3)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
</tbody>
</table>
<div style="text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><span style="font-family:"Cambria","serif""></span><br>
<span style="font-family:"Cambria","serif""></span><br>
<b>Table 2)</b> Content validity index (CVI) in SAMPLE checklist</span></span></span></div>
<table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none">
<tbody>
<tr>
<td style="border-bottom: none; width: 410px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Items</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: none; width: 76px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>CVI</b></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Stable vital signs<br>
The Cardiovascular system is stable. (Heart rate and blood pressure values are close to preoperative levels or systolic blood pressure is over 90 mmHg and less than180 mmHg)<span dir="RTL" lang="FA">.</span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Awake and conscious or with an early consciousness pattern<br>
(The patient is conscious and aware of time and place, the effects of anesthetic drugs have recovered, or he is at his usual level of consciousness)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.97</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Spontaneous ventilation<br>
(Spontaneous deep breathing and cough and swallowing reflexes are present. The patient's ventilation pattern is normal)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Arterial oxygen saturation (SpO2) above 90%<br>
(Arterial oxygen saturation is over 90%. If necessary, supplemental oxygen is on the agenda to discharge the patient to the inpatient unit)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.91</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Controlled pain<br>
(The patient's pain is controlled (verbal pain scale≤3) and an adequate analgesic drug regimen has been prescribed. If neuraxial anesthesia with opioids, epidural catheters or other advanced analgesia methods are used, a post-anesthesia care team visit has been performed)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.88</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">lack of nausea and vomiting<br>
(The patient's nausea and vomiting have been controlled and a multiple drug regimen has been prescribed)<span dir="RTL" lang="FA">.</span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.85</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">lack of bleeding<br>
(Any bleeding at the surgical other than the usual patterns that prevent discharge has been reported to the surgical team)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.91</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">lack of movement block<br>
<span dir="RTL" lang="FA">(</span>Patients who have neuraxial anesthesia and were admitted to the hospital have visible return of sensory and motor block. Outpatients who underwent neuraxial anesthesia can walk and urinate before discharge<span dir="RTL" lang="FA">.)</span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; width: 410px; padding: 0cm 2px; height: 4px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">mean</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; height: 4px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.94</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
</tbody>
</table>
<div style="text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><span style="font-family:"Cambria","serif""></span><br>
<span style="font-family:"Cambria","serif""></span><br>
<b>Table 3)</b> Agreement between two evaluators by calculating Cohen's kappa coefficient in SAMPE checklist</span></span></span></div>
<table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none">
<tbody>
<tr>
<td style="border-bottom: none; width: 410px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>Items</b></span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><b><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></b></span></span></span></td>
<td style="border-bottom: none; width: 76px; padding: 0cm 2px; border-top: 1px solid black; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;"><b>kappa</b></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Stable vital signs<br>
(Cardiovascular system is stable. Heart rate and blood pressure values are close to preoperative levels or systolic blood pressure is above 90 mmHg and below 180 mmHg)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Awake and conscious or with an early consciousness pattern<br>
(The patient is conscious and aware of time and place, the effects of anesthetic drugs have recovered or he is at his usual level of consciousness)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.779</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Spontaneous ventilation<br>
(Spontaneous deep breathing and cough and swallowing reflexes are present. The patient's ventilation pattern is normal)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Arterial oxygen saturation (SpO2) above 90%<br>
(Arterial oxygen saturation is over 90%. If necessary, supplemental oxygen is on the agenda to discharge the patient to the inpatient unit)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">Controlled pain<br>
(The patient's pain is controlled (verbal pain scale≤3) and an adequate analgesic drug regimen has been prescribed. If neuraxial anesthesia with opioids, epidural catheters or other advanced analgesia methods are used, a post-anesthesia care team visit has been performed)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.635</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">lack of nausea and vomiting<br>
(The patient's nausea and vomiting have been controlled and a multiple drug regimen has been prescribed)<span dir="RTL" lang="FA">.</span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">0.310</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-width: initial; border-style: none; border-color: initial; width: 410px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">lack of bleeding<br>
(Any bleeding at the surgical other than the usual patterns that prevent discharge has been reported to the surgical team)</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
<td style="border-width: initial; border-style: none; border-color: initial; width: 76px; padding: 0cm 2px; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">1</span></span></span><span style="font-size:11pt"><span style="line-height:normal"><span sans-serif="" style="font-family:Calibri,"><span dir="RTL" lang="FA" style="font-size:12.0pt"><span style="font-family:"IRANSharp_PrintingSize","sans-serif""></span></span></span></span></span></td>
</tr>
<tr>
<td style="border-bottom: 1px solid black; width: 410px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;"><span style="font-size:12px;"><span style="font-family:Verdana;">lack of motor block<br>
(Patients who underwent neuraxial anesthesia and were admitted to the hospital have visible return of sensory and motor block. Outpatients who underwent neuraxial anesthesia canwalk and urinate before discharge)<span dir="RTL" lang="FA">.</span></span></span></span></td>
<td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"><span style="line-height:2;">1</span></td>
</tr>
</tbody>
</table>
<table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none">
<tbody>
<tr>
<td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"></td>
</tr>
</tbody>
</table>
<table align="center" class="MsoTableGrid" style="border-collapse:collapse; border:none">
<tbody>
<tr>
<td style="border-bottom: 1px solid black; width: 76px; padding: 0cm 2px; border-top: none; border-right: none; border-left: none; text-align: center;"></td>
</tr>
</tbody>
</table>
<span style="line-height:2;"> <span style="font-size:12px;"><span style="font-family:Verdana;"><span style="font-family:"Cambria","serif""></span></span></span><br>
</span></div>
بیهوشی,چکلیست,ریکاوری,روانسنجی,ترخیص بیمار,
Anesthesia,Checklist,Recovery Room,Psychometrics,Patient Discharge,
1
14
http://jpmed.ir/browse.php?a_code=A-10-1260-1&slc_lang=fa&sid=1
Mohammad
Gholamzadeh
محمد
غلامزاده
mohammadmgh76hb@gmail.com
No
Department of Anesthesiology, Faculty of Paramedicine, Iran University of Medical Sciences, Tehran, Iran
گروه هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران
Azam
Saei
اعظم
ساعی
saei.a@iums.ac.ir
Yes
Department of Anesthesiology, Faculty of Paramedicine, Iran University of Medical Sciences, Tehran, Iran
گروه هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران
Shanam
Sedigh Maroufi
شهنام
صدیق معروفی
sedighmaroufi.s@iums.ac.ir
No
Department of Anesthesiology, Faculty of Paramedicine, Iran University of Medical Sciences, Tehran, Iran
گروه هوشبری، دانشکده پیراپزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران
Tahereh alsadat
khobbin Khoshnazar
طاهره سادات
خوب بین خوش نظر
nh.khoshnzar@gmail.com
No
Department of Nursing, Faculty of Nursing & Midwifery, Iran University of Medical Sciences, Tehran, Iran
گروه پرستاری، دانشکده پرستاری و مامائی، دانشگاه علوم پزشکی ایران، تهران، ایران
Rezvan
Rajabzadeh
رضوان
رجب زاده
rajabzade.61@gmail.com
No
Department of Epidemiology, Faculty of Medicine, North Khorasan University of Medical Sciences, Bojnord, Iran
گروه اپیدمیولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی خراسان شمالی، بجنورد، ایران